Select Medical Holdings (SEM) — Cash Flow Quality Index
Select Medical Holdings (SEM) has a Cash Flow Quality Index of -0.05x as of March 2026. Operating cash flow of $-3.46 Million is below net income of $74.73 Million, suggesting accrual-heavy earnings not yet converted to cash. Explore Select Medical Holdings cash conversion from operations to assess how effectively this company generates cash.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
Select Medical Holdings Cash Flow Quality Index (2006–2025)
Historical Cash Flow Quality Index for Select Medical Holdings across 20 annual periods. Values consistently above 1.0x indicate high-quality earnings. Check Select Medical Holdings investment reinvestment rate to assess the company's total reinvestment commitment from operating cash flow.
Annual Cash Flow Quality Index for Select Medical Holdings (2006–2025)
Year-by-year earnings quality comparison for Select Medical Holdings. For live market cap and the full company financial profile, see Select Medical Holdings stock valuation.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 2.37x | $346.47 Million | $146.22 Million | ▲ +35.8% |
| 2024 | 1.75x | $517.86 Million | $296.70 Million | ▼ -10.1% |
| 2023 | 1.94x | $582.06 Million | $299.73 Million | ▲ +35.0% |
| 2022 | 1.44x | $284.82 Million | $198.03 Million | ▲ +79.2% |
| 2021 | 0.80x | $401.23 Million | $499.95 Million | ▼ -73.1% |
| 2020 | 2.98x | $1.03 Billion | $344.61 Million | ▲ +34.7% |
| 2019 | 2.21x | $445.18 Million | $201.03 Million | ▼ -20.7% |
| 2018 | 2.79x | $494.19 Million | $176.94 Million | ▲ +158.8% |
| 2017 | 1.08x | $238.13 Million | $220.65 Million | ▼ -61.0% |
| 2016 | 2.77x | $346.60 Million | $125.27 Million | ▲ +80.5% |
| 2015 | 1.53x | $208.41 Million | $136.00 Million | ▲ +15.1% |
| 2014 | 1.33x | $170.64 Million | $128.18 Million | ▼ -14.9% |
| 2013 | 1.57x | $192.52 Million | $123.01 Million | ▼ -19.4% |
| 2012 | 1.94x | $298.68 Million | $153.89 Million | ▲ +0.8% |
| 2011 | 1.93x | $217.13 Million | $112.76 Million | ▲ +9.7% |
| 2010 | 1.75x | $144.54 Million | $82.36 Million | ▼ -16.4% |
| 2009 | 2.10x | $165.64 Million | $78.89 Million | ▼ -49.5% |
| 2008 | 4.16x | $107.44 Million | $25.83 Million | ▲ +71.3% |
| 2007 | 2.43x | $86.01 Million | $35.43 Million | ▲ +1.2% |
| 2006 | 2.40x | $227.65 Million | $94.88 Million | — |